Get a Form or Publication: release

Your search for "release" returned 11 documents.

Title Type Number
Affidavit to Release Public Records

This form is to request L&I to release public records in the contractors registration section.

Form F625-066-000
Application for Group Membership & Authorization for Release of Insurance Data

Used by employers who want to join a retrospective rating group; also, to authorize Labor & Industries to release the employers' insurance data to the retrospective rating group they want to join.

Form F250-016-000
Authorization to Release Claim Information
Also available in: Spanish

Used by the worker to designate a person(s) as an authorized representative for the worker's claim. An authorized representative can access claim information.

Form F101-010-000
Autorización Para Proveer Información De Reclamos
Also available in: English

Used by the worker to designate a person(s) as an authorized representative for the worker's claim. An authorized representative can access claim information.

Form F101-010-999
Contractor Financial Information

Used by the contractor to request L&I to release assignment of account that they used instead of a surety bond.

Form F625-061-000
Department of Labor and Industries Home Modification Acknowledgement of Responsibilities

Used by both workers and bidding contractors to read, sign and submit to L&I to verify that they have read, understand and accept their respective responsibilities in the home modification process.

Form F247-003-000
Notice of Completion of Public Works Contract

This is the form used by public agencies to request L&I's approval to release retainage. All contractors are to be listed on the request form. The first EXCEL document is in Office 2007 format. The second file, with the same title, is in Office 2003 format.

Form F215-038-000
Request for Archive Records - Contractor Registration

This form is to request L&I to release archive records in the contractors registration section.

Form F625-094-000
Request for Claim Information

Used by workers, workers' representatives, employers or employers' representatives to request claim information from L&I.

Form F101-010-111
Safety Standards for Process Safety Management of Highly Hazardous Chemicals

The purpose this of section, Chapter 296-67 WAC, Process safety management of highly hazardous chemicals, contains requirements for preventing or minimizing the consequences of catastrophic releases of toxic, reactive, flammable, or explosive chemicals. These releases may result in toxic, fire, or explosion hazards.

Manual F414-090-000
Safety Standards Lockout/Tagout WAC 296-803

Lockout/Tagout applies to the service and maintenance of machines and equipment, including piping systems, if employees could be injured by the unexpected energization or start up of the machine or equipment or release of stored energy. Energy sources include mechanical, hydraulic, pneumatic, chemical, thermal, or other energy, including gravity. Machines and equipment include those that produce high intensity electromagnetic fields.

Manual F414-124-000



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